Clinical approach: hypokalemia paralysis periodic with type 2 diabetes mellitus and insulin

I. Dewa Gede Amara Putra Wibawa; Anak Agung Istri Sri Kumala Dewi

doi:10.18203/2320-6012.ijrms20232117

Authors

I. Dewa Gede Amara Putra Wibawa Department of Internal Medicine, Wangaya Hospital, Denpasar, Bali, Indonesia
Anak Agung Istri Sri Kumala Dewi Department of Internal Medicine, Wangaya Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20232117

Keywords:

Diabetes, Insulin, FHPP

Abstract

Hypokalemic paralysis periodic (HypoKPP) also known as familial hypokalemic periodic paralysis (FHPP) or primary FHPP is rare case characterized by periodic muscle weakness and estimated prevalence of around 1 in 100.000. Insulin is a treatment for diabetes that also decreases blood potassium levels, therefore, it is necessary to further investigate the causes of hypokalemia. This will be the topic of further discussion if there is a correlation with FHPP. A 32-years-old Indonesian woman with diabetic who has symptoms indicate HypoKPP, and her twin-sister suffered same symptoms is suspected of having FHPP. FHPP is difficult to diagnose due to genetic, other causal factors that must be eliminated, and uncommon references.

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